Anterolisthesis Clinical Trial
Official title:
Effect of Suboccipital Muscle Myofascial Release on Hamstring Muscle Length, Pain and Disability in Patients With Anterolisthesis
Background:
Anterolisthesis presents with tightness of hamstring muscle which is a major contributing
factor for low back pain and disability. Suboccipital Myofascial release decreases the
tension in the fascia and helps to amend the muscle imbalance. There is a presence of
superficial backline between suboccipitalis and hamstring muscle.
Aim:
The purpose of the study is to find out the effect of sub occipital myofascial release on
hamstring tightness along with pain and disability associated with it in Anterolisthesis.
Methods:
The study will recruit individuals with Anterolisthesis between the age of 35- 55.
Pathologies which will limit or interfere with the test outcome shall be excluded. The
samples will be collected using criterion based sampling. Procedure will be explained prior
to the intervention
Data analysis:
Normality of the collected data will be established by Shapiro Wilk Test. Based on the
normality, descriptive statistics data will be expressed as mean ± standard deviation or
median and intra quartile range. Within group comparison will be done by paired t test or
Wilcoxon signed rank test and between group comparison will be done through independent t
test or Mann Whitney U test.
1. Introduction:
Anterolisthesis refers to an anterior displacement of a vertebra over subjacent vertebra
causing low back pain, radiculopathy and hamstring tightness. Hamstring tightness causes
improper patterns in the lumbopelvic region. There is a dura matter which connects
suboccipitalis and hamstring muscle and reduction in the tone of suboccipitalis will
thus cause decrease in tone of hamstring muscle. Myofascial release is a manipulative
treatment that attempts to release tension in fascia and has an effect to decrease
soreness of muscle.
1.1.Problem statement: Generally in patients with anterolisthesis a single component is
considered as a treatment, this study thus aims to be a bridge filling the gap in the
scientific cognizance
1.2.Purpose of the study:The target of the study is to see the outcome of sub
occipitalis myofascial release on tightness of hamstring muscle, pain and disability.
1.3.Objectives of the study: To evaluate the efficacy of suboccipital myofascial release
and conventional physiotherapy treatment in tightness of hamstring muscle, pain and
disability
2. Procedure:
Total male (n) and female (n) patients between the age of 35 and 55 years with grade 1 and 2
Anterolisthesis will be selected on the basis of inclusion and exclusion criteria. The
suitable sample will be randomly allocated into 2 groups - experimental and control group
respectively. The popliteal angle test will be carried out to assess hamstring length and
modified oswestry disability index will be used to quantify disability for low back pain.
Visual analogue scale will be used to measure intensity of pain. All the necessary measures
will be taken among the participants of experimental group.The MFR technique will be given in
the upper cervical region with the patient in supine position. The MFR will be given for
three repetitions per session, three times per week for the period of four weeks. The control
group will be receiving conventional physiotherapy treatment for hamstring tightness which
includes static stretching, modified hold-relax stretching and contract relax technique.
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